Individual
AMIR REZA HAJRASOULIHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 944-2020
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01078760A
IN
207WX0107X
Retina Specialist (Ophthalmology) Physician
01078760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005248
—
IN
Enumeration date
11/24/2010
Last updated
05/20/2025
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